73 Lyme Rd Suite 3
Hanover NH 03755
Medical School: Other - Unknown
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: 04057
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Measuring emotion socialization in schools. - The Journal of school health
Understanding how school personnel can best support students' development of communication skills around feelings is critical to long-term health outcomes. The measurement of emotion socialization in schools facilitates future research in this area; we review existing measures of emotion socialization to assess their applicability to school-based health studies.A content analysis of four emotion socialization measures was conducted. Inclusion criteria included: high frequency of use in prior research, established documentation of validity and reliability, and sufficient description of measurement procedures.Four dimensions emerged as particularly salient to a measure's future relevance and applicability to school-based health studies: (1) methods of measurement; (2) mode and agent of socialization; (3) type of emotion; and (4) structure versus function of socializing behavior.Future measurement strategies should address (1) the structures of emotion socializing processes; (2) diverse socializing agents such as teachers, peers, and administrators; (3) the intended functions of such processes; (4) student perceptions of and responses to such processes; and (5) the complex interactions of these factors across contexts. Strategies attending to these components will permit future studies of school-based emotion socializing processes to determine how they enhance health and reduce health risks.Â© 2013, American School Health Association.
Depicting the logic of three evaluation theories. - Evaluation and program planning
Here, we describe the development of logic models depicting three theories of evaluation practice: Practical Participatory (Cousins & Whitmore, 1998), Values-engaged (Greene, 2005a, 2005b), and Emergent Realist (Mark et al., 1998). We begin with a discussion of evaluation theory and the particular theories that were chosen for our analysis. We then outline the steps involved in constructing the models. The theoretical prescriptions and claims represented here follow a logic model template developed at the University Wisconsin-Extension (Taylor-Powell & Henert, 2008), which also closely aligns with Mark's (2008) framework for research on evaluation.Copyright Â© 2012 Elsevier Ltd. All rights reserved.
The impact of the Department of Veterans Affairs Health Care Personnel Enhancement Act of 2004 on VA physicians' salaries and retention. - Journal of health care finance
To determine whether the Department of Veterans Affairs Health Care Personnel Enhancement Act (the Act), which was designed to achieve VA physician salary parity with American Academy of Medical Colleges (AAMC) Associate Professors and enacted in 2006, had achieved its goal.Using VA human resources datasets and data from the AAMC, we calculated mean VA physician salaries, with 95 percent confidence intervals, for 15 different medical specialties. For each specialty, we compared VA salaries to the median, 25th, and 75th percentile of AAMC Associate Professors' incomes.The Act's passage resulted in a $20,000 annual increase in VA physicians' salaries. VA primary care physicians, medical subspecialists, and psychiatrists had salaries that were comparable to their AAMC counterparts prior to and after enactment of the Act. However, VA surgical specialists', anesthesiologists', and radiologists' salaries lagged their AAMC counterparts both before and after the Act's enactment. Income increases were negatively correlated with full-time workforce changes.VA does not appear to provide comparable salaries for physicians necessary for surgical care. In certain cases, VA should consider outsourcing surgical services.
Does the VA offer good health care value? - Journal of health care finance
We sought to determine whether the VA provides health care at a low cost.For fiscal years 2001-2007, we used data from the National Center for Health Statistics to calculate the VA's average per capita health care costs. We used data from the Medical Expenditure Panel Survey to calculate the average market value of health care received by patients who used the VA for health care. Finally, we examined several measures of health care quality provided by the VA and the private sector.Overall, VA health care costs 33 percent more than it would if purchased in the private sector (95 percent Confidence interval: 19 percent - 52 percent more); VA inpatient care costs were 56 percent higher (95 percent Confidence interval: 27 percent - 105 percent higher). The VA maintains a quality advantage in outpatient care, but its inpatient advantage has narrowed over recent years, and there is evidence that VA surgical care has worse outcomes than private sector surgical care.The VA's health care costs are considerably higher than could be purchased in the private sector. The VA should consider outsourcing inpatient services to high performance private sector hospitals.
How do race and sex affect the earnings of primary care physicians? - Health affairs (Project Hope)
To explore the connection between primary care physicians' race and sex and their annual incomes, we used restricted versions of Community Tracking Study Physician Surveys administered in 1998-99, 2001-02, and 2004-05. Compared to white male primary care physicians, we inconsistently found lower yearly incomes for their black male peers but consistently found significantly lower incomes for their female peers of any race, after differences in work effort, physician characteristics, and practice characteristics were adjusted for. Sex-based differences persisted over time. Our findings suggest that addressing the underlying causes of sex-based income differences should be a priority for health professional organizations, particularly as more women enter the physician workforce.
Medical school type and physician income. - Journal of health care finance
We wanted to determine whether the type of medical school attended--private US, public US, or foreign medical school--is associated with practice characteristics or incomes of physicians. Therefore, we used survey responses obtained during the 1990s from 10,436 actively practicing white male physicians who worked in one of 13 medical specialties and who graduated from a public US (5,702), private US (3,797), or international (937) medical school. We used linear regression modeling to determine the association between type of medical school attended and physicians' annual incomes after controlling for specialty, work hours, provider characteristics, and practice characteristics. We found that, for most specialties, international medical school graduates worked longer hours, were less likely to be board certified, had practiced medicine for fewer years, and were less likely to work in rural settings than US medical school graduates. After controlling for key variables, international medical school graduates' annual incomes were 2.6 percent higher (95% CI: 0.1%, 4.4%, p = .043) and public US medical school graduates' were 2.2 percent higher (95% CI: -0.9% -6.1%, p = 0.2) than private US medical school graduates' incomes. Because of their lower tuition expenses, international and public US medical school graduates may experience higher returns on educational investment than their counterparts who graduated from private US medical schools.
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73 Lyme Rd Suite 3 Hanover, NH 03755